| Resistance exercise: training adaptations and developing a safe exercise prescription. | |
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MedLine Citation:
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PMID: 17932746 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The safety and efficacy of resistance exercise training (RT) in patients with chronic heart failure (CHF) are critically reviewed. Evidence-based recommendations for designing safe RT programs are also presented to help clinicians and rehabilitation professionals formulate exercise prescriptions for their patients. To the extent possible, the separate and independent effects of RT on patients with CHF are discussed. Clinical prognosis (i.e. risk stratification) and exercise capacity in patients with CHF are determined by the mitigating effects of both central hemodynamics and peripheral pathophysiology. Despite the well-described skeletal muscle wasting and myopathy in heart failure, aerobic exercise remains by far the most prescribed training modality in patients with CHF. This article presents evidence that improvement of skeletal muscle phenotype (muscle mass, fiber morphology, and histochemistry) should be a fundamental goal of rehabilitation in patients with CHF. Moreover, RT may be the preferred exercise modality when targeting the periphery for muscle phenotype adaptation. |
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Authors:
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Randy W Braith; Darren T Beck |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Heart failure reviews Volume: 13 ISSN: 1382-4147 ISO Abbreviation: Heart Fail Rev Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2007-12-14 Completed Date: 2008-03-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9612481 Medline TA: Heart Fail Rev Country: United States |
Other Details:
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Languages: eng Pagination: 69-79 Citation Subset: IM |
Affiliation:
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Center for Exercise Science, College of Health and Human Performance and the College of Medicine, University of Florida, P.O. Box 118206, Gainesville, FL 32611, USA. rbraith@hhp.ufl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Physiological
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physiology Body Composition / physiology Chronic Disease Exercise Therapy / contraindications, methods* Heart Failure / mortality, physiopathology, rehabilitation* Hemodynamics / physiology Humans Muscle Strength / physiology Muscle, Skeletal / metabolism Oxygen Consumption / physiology Weight Lifting* / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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